Your question raises a very interesting and important point. The very fact that there are so many "bells and whistles" devices out there all claiming to be the "next big thing" to come along should give thoughtful consumers pause that perhaps none really work that well. Unfortunately, many of these relatively expensive, supposedly latest and greatest devices, be they fraxels, radiofrequency devices and ultrasound machines are far more backed by device manufacturer supported marketing hype than hard science. Unfortunately, without at least a few HD photos, it is impossible to respond to your question in any but the most general terms. If you are referring to mild laxity in the lower face around the mouth area and the beginnings of crepey, crinkly skin or very fine lines, then a simple couple of treatments with injectable skin boosters can help overall hydration, skin tautness, and skin quality, especially when these problems are early on. No skin boosters per se are currently available in the U.S., however, Restylane Silk does work quite well for this purpose and is what I use in my NY office. In my Israel satellite facility, where a far greater number of regulatory agency approved injectable products are available, I typically opt for Viscoderm Hydroboosters, Restylane Skin Boosters, and Juvederm Volift. A unique hyaluronic acid-based injectable product, Profhilo works well as a supplement to the above. Make sure that you consult with a board certified aesthetic physician and, once again, be sure to do your "due diligence" when evaluating claims for the expensive "bells and whistles."